Archive for the ‘Digestive’ Category
Medical-history: In flood affected areas in Pakistan, gastrointestinal Disorders are very common. Diseases such as diarrhea, dysentery, vomiting, and colic to mention just a few.
Symptoms: Watery diarrhea, feelings of fullness, cramping pains.
CM-diagnosis: Excess type diarrhea
Chief Complaint: Recurring Nightmares
History: Patient was an 23yr old female who had no previous major medical history. She had a tonsillectomy when she was in grade school (did not remember age) . No medications, no history of abuse and could not think of any specific physical or emotional trauma.
Symptoms: Recurring dream of being chased then strangled. Initial onset was about 1.5 months prior to tx with an occurrence about 2/3 times per week. Patient was having difficulty sleeping due to anxiety about having nightmare and would sleep very lightly. After dream would usually stay up about 2 hours to calm herself down. All other functions seemed normal.
The Treatment of Vomiting with Tiao Wei Cheng Qi Tang (Regulate the Stomach and Order the Qi Decoction)
by Dr. Wang Chang-Yong çŽ‹å¸¸å‹‡
Patient: Wan, female, 32 years old.
Chief Complaint: vomiting
Medical History: Ms. Wan suffered for a long time from low-grade fever, chest pain and cough. The respiratory department in the hospital diagnosed her with pulmonary tuberculosis, and after receiving treatment, she was all better.
But five days ago she started to vomit, gradually worsening, with many bouts each day; she vomited after eating, and had difficulty eating and drinking. She self-administrated some Western medicine sedatives and anti-emetic drugs but without any results. Then she sought care from a Chinese medicine doctor.
Chief Complaint: Crohn’s disease.
Medical History: Crohn’s disease first diagnosed twenty years previous to first visit (patient 52 years old). Soon after a right hemi-colectomy was carried out, and about 40cm of Small Intestine including appendix and ileal sphincter was removed. About 16 years of relative health followed, after which disease progressed to include ulceration in the colon. Prognosis was for a permanent stoma, and the aim of treatment was literally to see if any improvement could be gained. At time of first consultation, patient was suffering from frequent sudden senses of pain and distension, followed by immediate need to evacuate bowels. This occurred 6-7 times a day, and included bleeding
Chief Complaint: constipation
Medical History: 32 yr. old male
works out 3x week
drinks- smokes on occasion.
Eats all the time
Fairly good diet..a fair amount of dairy
Questioning exam: Doesn’t evacuate for several days.
Chief Complaint: Constipation after childbirth 31 years ago!
Western Diagnosis: Constipation
Medical History: 58 yo female,born in Switzerland; came to America with husband (business assignment)5 years ago. Upper/lower GI endoscopy revealed negative. Hysterectomy 6/01 due to uterus prolapse. Organic food, vitamins, and perform yoga exercise daily.
Questioning exam: BM once a day in the morning; however had to wait for at least 45 minutes before defecation and required great effort to empty the bowels with complete relief. Stool is formed,in the soft side, brown color with no abnormal odor. She also complains of spontaneous sweating, and low energy (fatigue); a sensation of fullness in the stomach and lower abdomen.
Chief Complaint: Epigastric pain
Medical History: Male, 29
At age 16 the patient realized he couldn’t eat fried, greasy or rich foods on the same day as playing soccer without experiencing a burning sensation from the stomach to the throat. Began taking pepsid with a little improvement. At age 21, while in Sri Lanka he ate some yogurt which made burning so bad that the pepsid did not work. Accompanying symptoms included slight fever, irritability, and profuse diarrhea with a fetid odor and a burning sensation. Upon return to the U.S. he was diagnosed with Giardia and Amoebas. Prescribed Flagal which stopped diarrhea. Prescribed Prilosec for reflux which helped. At age 22, he stopped Prilosec and began managing the reflux with Chinese herbs.
Chief Complaint: Early morning diarrhea which is worse just before and during menses.
Medical History: Generally nervous person, tends to internalize stress. Too much cold and sweet food. Exercises daily. Drinks wine several times per week. Previous antibiotic use with subsequent yeast infections.
Questioning exam: Symptoms worse with period.
Symptoms worse in the winter.
Symptoms worse with stress.
Chief Complaint: Heartburn and pain in epigastrium
Western Diagnosis: Chronic gastritis
Medical History: In the last five years, the patient had very stressful life when she studied in college and tried to find a job. Her eating was not in a regular base and she did not do any exersise.
Questioning exam: She always felt fullness and dull pain in the epigastrium especially if she got upset or angry, the situation got worse. Some times she also felt the fullness or pain in hypochondria area. She was in fatigue all the time and the appetite was poor. Occasionally she had diarrhea.
Chief Complaint: Fatigue, nausea and loss of appetite.
Western Diagnosis: HIV Positive
Medical History: Male, 33 years of age, 5’10″, 175 lbs., full time student/part time bartender. Diagnosed HIV positive in 1989 remaining healthy with no complications. Currently (2002) and since 1996 patient on triple drug therapy of Indinovir, 3TC and AZT due to high viral load. Current viral load measures 200,000 copies per milliliter. Most notable side effects are chief complaint of fatigue, nausea and loss of appetite. Irregularly exercises, meditates and practices Qi Gong daily. Eight hours of sleep consistently but restless with dreams most nights, Excellent organic non vegetarian diet, mealtimes at regular hours 3x daily. Exposure to smoke daily.